Individual provider Active NPI

Lata K Thaly, MD

  • Anesthesiology Physician
  • Houma, LA
National Provider Identifier
1699712869
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
14514 Issued in LA
Practice address
1978 Industrial Blvd
Leonard Chabert Medical Center
Houma, LA 70363
Phone
(985) 873-2200
NPI assigned
May 31, 2006
Last updated
Oct 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 14514 LA Primary

Addresses

Primary practice location

1978 Industrial Blvd
Leonard Chabert Medical Center
Houma, LA 70363

Mailing address

72 Lakewood Estates Dr
New Orleans, LA 70131-8358
Phone (504) 228-2077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000010 LA Practitioner - Anesthesiology 6800847385 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Anesthesia ConsultantsGroup PAC ID 8820470057, 22 clinicians

Practice addresses (Care Compare)

2701 Lake Villa Dr
Metairie, LA 70002-6701
Phone (504) 832-2115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14514LAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Anesthesia Consultants Anesthesiology CurrentSince May 20, 2022 Accepting new patients
Zephyr Anesthesia, LLC Anesthesiology CurrentSince Sep 20, 2022 Accepting new patients
St Tammany Anesthesia Group Anesthesiology Past Accepting new patients
Outpatient Eye Surgery Center Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

401 Whitney Ave
Ste 405
Gretna, LA 70056
Phone (504) 362-0504

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901

4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421

4633 Wichers Dr
Ste 200
Marrero, LA 70072
Phone (504) 328-0000

1207 N Causeway Blvd
Metairie, LA 70001
Phone (504) 832-2115

2701 Lake Villa Dr
Metairie, LA 70002
Phone (504) 274-3100

187 Ventre Blvd
Opelousas, LA 70570
Phone (337) 407-0050

Interoperability endpoints

  • Direct secure messaging: lata.thaly.p1@direct.southernpain.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1699712869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 LAKEWOOD ESTATES DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701318358",
            "telephone_number": "504-228-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 INDUSTRIAL BLVD",
            "address_2": "LEONARD CHABERT MEDICAL CENTER",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70363",
            "telephone_number": "985-873-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THALY",
        "first_name": "LATA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "14514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.